For small home health, hospice, and clinic teams.
What is it? A monthly check of every person on an agency roster against three lists: the OIG List of Excluded Individuals and Entities (LEIE), SAM.gov federal exclusions, and the state Medicaid exclusion list. New hires are checked on the day they are added.
Who pays? A small home health, hospice, or clinic agency, usually through a compliance officer, operations director, or administrator.
What problem does it solve? Federal guidance says to screen every employee, contractor, and vendor against the LEIE every month. Doing it by hand, every month, for every name, is easy to miss, and one missed excluded person on a billed claim can be expensive.
What would the customer receive? A dated, signed monthly receipt listing the lists checked, the check date, the roster size, and how many exclusions were found. The receipt is the product. It records that a check was run. It does not certify compliance, and it does not certify that any person is clear to bill.
Why would they buy ours? The test claim is that $99 buys more than a basic lookup: every state Medicaid list, not just one, human triage of possible matches, and new hires checked the same day. That claim is unproven. See the price note below.
What would it cost? PROPOSED pricing, not validated: Starter $99 per month (up to 10 employees plus 5 contractors or vendors), Core $149 per month, Growth $199 per month. No setup fee in this test. Cancel any time.
What evidence supports it? 5 dated public buyer signals, listed in Research and evidence below: a health plan job posting for monthly screening, a county procurement rule imposing screening on contractors, a large buyer requiring monthly checks from suppliers, OIG settlements in 2025 and 2026 for employing excluded people, and a practitioner post telling agencies they under-screen. Competitors publish prices for the same job: Exclude Feed $19 per month for a signed receipt, ExclusionSentry from $29, Exclusion Screening $30 to $40, ClearCheckTN $99 / $149 / $199.
What is still unproven? 0 demonstrated willingness to purchase at the exact price. No named small agency has asked to buy this service at $99, and no signal shows an agency will pay $99 for the bundle rather than $19 to $40 for a lookup and receipt. Owner income math, after outsourced operating costs of $3,000 to $6,000 per month, needs 132 to 162 customers at $99 for $10,000 per month in owner income, not 101 customers on revenue alone. Customer acquisition cost, sales cycle, and churn are all UNKNOWN.
What happens next? Smallest validation experiment: show the sample receipt below to agencies and ask if they will trial it at $99 per month rather than a $19 to $40 lookup. Kill criterion: kill the $99 price if no agency will trial at $99. Then test $29 to $49 instead. Do not build the re-screening engine until that test passes. No one has been contacted yet, and no one will be contacted until Matt approves the exact words first.
Every month, we check every person on your roster against three lists:
We check employees, contractors, and vendors you list. We check new hires on the day you add them.
What you get is a dated, signed receipt each month. The receipt lists the lists we checked, the date we checked them, how many people were on the roster, and how many exclusions were found. You can show the receipt to a surveyor or an auditor. The receipt is the product.
This service is a screening check and a receipt. It is not legal advice. It is not a full background check. It does not replace your own hiring checks or your own compliance program. We do not decide for you whether a person is excluded. You make the hiring and billing decision.
Checking a record is not the same as certifying compliance. A check compares the names on a roster, as listed, against source records on the lists above. A "no match" result means no source record matched that name as listed. It is not a correctly resolved identity match on its own, and it is not proof that the person named is the same person as, or a different person from, any record on a list. A receipt records that the check was run, on the date shown, for the roster shown. It does not certify that any person is clear to bill Medicare or Medicaid.
Federal guidance says to screen every employee, contractor, and vendor against the LEIE every month.
One excluded person on a billed claim can bring a civil monetary penalty of about $22,000 per claim, plus treble damages. Violations can also bring a penalty of $10,000 per day per excluded individual. These are illustrative penalty figures from public penalty schedules. They do not apply to any particular agency, claim, or situation, and they are not a prediction of what any agency would pay.
A monthly receipt shows the check was done, on time, for everyone on the roster.
Price, PROPOSED, not validated. The prices below are a test price, not a validated market price.
No setup fee. No long term contract. Cancel any time. If your roster grows past your plan limit, we will tell you before we charge you for the next plan up.
$10k a month math, arithmetic only: 101 customers at $99, 67 at $149, 51 at $199. The $7k floor needs 71 customers at $99.
Illustrative sample. Fictional. Not a real screening result.
Monthly Exclusion Screening Receipt
Receipt number: MSR-2026-11-001-SAMPLE
Receipt date: 2026-11-10
Screening month: November 2026
Agency on receipt: Fictional Home Health Agency (sample only)
Roster size: 10 people
Plan on receipt: Starter, $99 per month (sample only)
Lists checked on 2026-11-10:
Result: 0 exclusions found. 0 possible matches flagged for review.
| Name (fictional) | Role (fictional) | Result (fictional) |
|---|---|---|
| Anna Reed | Registered Nurse | No match found |
| Brian Cole | Certified Nursing Assistant | No match found |
| Carla Moss | Physical Therapist | No match found |
| David Tran | Home Health Aide | No match found |
| Ellen Brooks | Occupational Therapist | No match found |
| Frank Doyle | Registered Nurse | No match found |
| Grace Kim | Medical Social Worker | No match found |
| Henry Walsh | Certified Nursing Assistant | No match found |
| Irene Fox | Speech Therapist | No match found |
| James Hale | Home Health Aide | No match found |
New hires checked on the day added: none added this month (sample).
This receipt records that the three lists above were checked for the 10 people listed, on 2026-11-10, and that no source record matched a name as listed in this sample. This sample does not prove that any real person is clear to bill Medicare or Medicaid, and a real receipt would not certify that either. A receipt is a record of a check, not a certification of compliance. A real receipt would list a real agency, a real roster, and a real check date.
Signed: Monthly Screening Service (sample)
Date signed: 2026-11-10
Illustrative sample. Fictional. Not a real screening result.
Price check, corrected 2026-11-11: Exclude Feed sells a signed monthly receipt at $19 a month, ExclusionSentry sells an audit PDF from $29 a month, and Exclusion Screening is $30 to $40 a month. A signed receipt alone does not justify $99.
What the $99 test price includes beyond a basic receipt: every state Medicaid list, not just one, human triage of possible matches, and new hires checked on the day they are added. ClearCheckTN also publishes $99 / $149 / $199 for the same job.
The test is whether an agency will pay $99 for that bundle, or will take the $19 to $40 lookup instead. If no agency will pay $99 for it, the price to test is $29 to $49, not $99.
This idea has not been validated. It is killed if no agency will trial the receipt version at $99 a month rather than the $19 to $40 lookup version. The channel check passed, 10 of 10 agencies had a public contact channel and a named compliance or operations role, but that does not prove anyone will pay. Do not build the re-screening engine until that test passes.
Checked 2026-11-11, public sources only. No one was contacted. Sources are in background-b2b-demand-test.md and overnight-deliberate-b2b-test-prep.md.
Buyer signals, 5 dated public signals:
Competitors, public pricing checked 2026-11-11:
Honest limitations: No RFP or procurement notice was found from a small home health, hospice, or clinic agency asking to buy a monthly exclusion screening service. No forum post was found from a named small agency asking for a vendor at $99 per month. No customer review was found praising or complaining about a receipt. The 10 agencies in the overnight prep passed a channel plus role check (10 of 10 had a public contact channel and a named compliance or operations role), but 4 of the 10 are larger multi-site operators, not small single-site agencies, and that check proves a channel exists, not demand. The 5 signals above are workflow, staffing, and enforcement evidence. None is a purchase. Demonstrated willingness to purchase at the exact price is 0.
Prototype form. It does not send anything. It stores nothing. It processes nothing. No real request was received. Fill it in and the page will show a confirmation, and nothing leaves your browser.
Noted, in this page only. Nothing was sent, nothing was stored, and nothing was processed. No real request was received. This is a prototype, and the form is here so you can see what the offer would ask for.